Abstract
Although the role of genetics in personality has been studied extensively at a phenomenological level, only lately has the investigation of specific genes been performed. Recent reports suggest that DNA variants of the dopamine D4 receptor gene (DRD4) are associated with the personality trait of novelty seeking; however, others fail to replicate this finding. Such conflicting results suggest either a weak effect, an association only in certain populations, or a false-positive resulting from population stratification. We provide a critical analysis of genetic studies of DRD4 variants with novelty seeking, alcoholism, drug abuse, and attention deficit hyperactivity disorder. Evidence for the role of DRD4 in novelty seeking is inconclusive, with a number of methodological concerns. Use of more conservative statistical criteria for significance, employing gene haplotypes, as well as linkage disequilibrium studies, are recommended. The molecular biology of the D4 gene is also reviewed.
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References
Adamson MD, Kennedy J, Petronis A, Dean M, Virkkunen M, Linnoila M, Goldman D . (1995): DRD4 dopamine receptor genotype and CSF monoamine metabolites in Finnish alcoholics and controls. Am J Med Genet 60: 199–205
Altman DG . (1991): Practical Statistics for Medical Research. London, Chapman & Hall
Asghari V, Sanyal S, Buchwaldt S, Paterson A, Jovanovic V, Van Tol HHM . (1995): Modulation of intracellular cyclic AMP levels by different human dopamine D4 receptor variants. J Neurochem 65: 1157–1165
Asghari V, Schoots O, van Kats S, Ohara K, Jovanovic V, Guan HC, Bunzow JR, Petronis A, Van Tol HHM . (1994): Dopamine D4 receptor repeat: Analysis of different native and mutant forms of the human and rat genes. Mol Pharmacol 46: 364–373
Bardo MT, Donohew RL, Harrington NG . (1996): Psychobiology of novelty seeking and drug seeking behavior. Behav Brain Res 77: 23–43
Baron M . (1998): Mapping genes for personality: Is the saga sagging? Mol Psychiat 3: 106–108
Benjamin J, Li L, Patterson C, Greenberg BD, Murphy DL, Hamer DH . (1996): Population and familial association between the D4 dopamine receptor gene and measures of novelty seeking. Nat Genet 12: 81–84
Bennett ST, Lucassen AM, Gough SC, Powell EE, Undlien DE, Pritchard LE, Merriman ME, Kawaguchi Y, Dronsfield MJ, Pociot F, Nerup J, Bouzekri N, Cambon-Thomsen A, Ronningen KS, Barnett AH, Bain SC, Todd JA . (1995): Susceptibility to human type 1 diabetes at IDDM2 is determined by tandem repeat variation at the insulin gene minisatellite locus. Nat Genet 9: 284–292
Bennett ST, Wilson AJ, Cucca F, Nerup J, Pociot F, McKinney PA, Barnett AH, Bain SC, Todd JA . (1996): IDDM2-VNTR-encoded susceptibility to type 1 diabetes: Dominant protection and parental transmission of alleles of the insulin gene-linked minisatellite locus. J Autoimmun 9: 415–421
Bouchard TJ Jr . (1994): Genes, environment, and personality. Science 264: 1700–1701
Castellanos FX, Lau E, Tayebi N, Lee P, Long RE, Giedd JN, Sharp W, Marsh WL, Walter JM, Hamburger SD, Ginns EI, Rapoport JL, Sidransky E . (1998): Lack of an association between a dopamine-4 receptor polymorphism and attention-deficit/hyperactivity disorder: Genetic and brain morphometric analyses. Mol Psychiat 3: 431–434
Catalano M, Nobile M, Novelli E, Nöthen MM and Smeraldi E . (1993): Distribution of a novel mutation in the first exon of the human dopamine D4 receptor gene in psychotic patients. Biol Psychiat 34: 459–464
Chang FM, Kidd JR, Livak KJ, Pakstis AJ, Kidd KK . (1996): The worldwide distribution of allele frequencies at the human dopamine D4 receptor locus. Hum Genet 98: 91–101
Chang FM, Ko HC, Lu RB, Pakstis AJ, Kidd KK . (1997): The dopamine D4 receptor gene (DRD4) is not associated with alcoholism in three Taiwanese populations: Six polymorphisms tested separately and as haplotypes. Biol Psychiat 41: 394–405
Chang FM, Kidd KK . (1997): Rapid molecular haplotyping of the first exon of the human dopamine D4 receptor gene by heteroduplex analysis. Am J Med Genet 74: 91–94
Cichon S, Nöthen MM, Catalano M, Di Bella D, Maier W, Lichtermann D, Minges J, Albus M, Borrmann M, Franzek E, Stober G, Weigelt B, Korner J, Rietschel M, Propping P . (1995): Identification of two novel polymorphisms and a rare deletion variant in the human dopamine D4 receptor gene. Psychiat Genet 5: 97–103
Cichon S, Nöthen MM, Wolf HK, Propping P . (1996): Lack of imprinting of the human dopamine D4 receptor (DRD4) gene. Am J Med Genet 67: 229–231
Cloninger CR . (1987): A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiat 44: 573–588
Crowe RR . (1993): Candidate genes in psychiatry: An epidemiological perspective. Am J Med Genet 48: 74–77
Curtis D, Sham PC . (1995): A note on the application of the transmission disequilibrium test when a parent is missing. Am J Hum Genet 56: 811–812
Curtis D . (1997): Use of siblings as controls in case-control association studies. Ann Hum Genet 61: 319–333
Di Bella D, Catalano M, Cichon S, Nöthen MM . (1996): Association study of a null mutation in the dopamine D4 receptor gene in Italian patients with obsessive-compulsive disorder, bipolar mood disorder, and schizophrenia. Psychiat Genet 6: 119–121
Ebstein RP, Novick O, Umansky R, Priel B, Osher Y, Blaine D, Bennett ER, Nemanov L, Katz M, Belmaker RH . (1996): Dopamine D4 receptor (D4DR) exon III polymorphism associated with the human personality trait of novelty seeking. Nat Genet 12: 78–80
Ebstein RP, Belmaker RH . (1997a): Saga of an adventure gene: Novelty seeking, substance abuse, and the dopamine D4 receptor (D4DR) exon III repeat polymorphism. Mol Psychiat 2: 381–384
Ebstein RP, Nemanov L, Klotz I, Gritsenko I, Belmaker RH . (1997b): Additional evidence for an association between the dopamine D4 receptor (D4DR) exon II repeat polymorphism and the human personality trait of novelty seeking. Mol Psychiat 2: 472–477
Ebstein RP, Segman R, Benjamin J, Osher Y, Nemanov L, Belmaker RH . (1997c): 5-HT2C (HTR2C) serotonin receptor gene polymorphism associated with the human personality trait of reward dependence: Interaction with dopamine D4 receptor (D4DR) and dopamine D3 receptor (D3DR) polymorphisms. Am J Med Genet 74: 65–72
Ebstein RP, Levine J, Geller V, Auerbach J, Gritsenko I, Belmaker RH . (1998): Dopamine D4 receptor and serotonin transporter promoter in the determination of neonatal temperament. Mol Psychiat 3: 238–246
Fishburn CS, Elazar Z, Fuchs S . (1995): Differential glycosylation and intracellular trafficking for the long and short isoforms of the D2 dopamine receptor. J Biol Chem 270: 29819–29824
Geijer T, Jonsson E, Neiman J, Persson ML, Brene S, Gyllander A, Sedvall G, Rydberg U, Wasserman D, Terenius L . (1997): Tyrosine hydroxylase and dopamine D4 receptor allelic distribution in Scandinavian chronic alcoholics. Alcohol Clin Exp Res 21: 35–39
Gelernter J, Kranzler H, Coccaro E, Siever L, New A, Mulgrew CL . (1997): D4 dopamine-receptor (DRD4) alleles and novelty seeking in substance-dependent, personality disorder, and control subjects. Am J Hum Genet 61: 1144–1152
George SR, Cheng R, Nguyen T, Israel Y, O'Dowd BF . (1993): Polymorphisms of the D4 dopamine receptor alleles in chronic alcoholism. Biochem Biophys Res Commun 196: 107–114
George VT, Elston RC . (1987): Testing the association between polymorphic markers and quantitative traits in pedigrees. Genet Epidemiol 4: 193–201
Grice DE, Leckman JF, Pauls DL, Kurlan R, Kidd KK, Pakstis AJ, Chang FM, Buxbaum JD, Cohen DJ, Gelernter J . (1996): Linkage disequilibrium between an allele at the dopamine D4 receptor locus and Tourette syndrome, by the transmission-disequilibrium test. Am J Hum Genet 59: 644–652
Hebebrand J, Nöthen MM, Ziegler A, Klug B, Neidt H, Eggermann K, Lehmkuhl G, Poustka F, Schmidt MH, Propping P, Remschmidt H . (1997): Nonreplication of linkage disequilibrium between the dopamine D4 receptor locus and Tourette syndrome. Am J Hum Genet 61: 238–239
Itokawa M, Toru M, Ito K, Tsuga H, Kameyama K, Haga T, Arinami T, Hamaguchi H . (1996): Sequestration of the short and long isoforms of dopamine D2 receptors expressed in Chinese hamster ovary cells. Mol Pharmacol 49: 560–566
Jönsson EG, Nöthen MM, Gustavsson JP, Neidt H, Brené S, Tylec A, Propping P, Sedvall GC . (1997): Lack of evidence for allelic association between personality traits and the dopamine D4 receptor gene polymorphisms. Am J Psychiat 154: 697–699
Jönsson EG, Nöthen MM, Gustavsson JP, Neidt H, Forslund K, Mattila-Evenden M, Rylander G, Propping P, Asberg M . (1998): Lack of association between dopamine D4 receptor gene and personality traits. Psychol Med 28: 985–989
Kidd KK . (1993): Associations of disease with genetic markers: Deja vu all over again. Am J Med Genet 48: 71–73
Kotler M, Cohen H, Segman R, Gritsenko I, Nemanov L, Lerer B, Kramer I, Zer-Zion M, Kletz I, Ebstein RP . (1997): Excess dopamine D4 receptor (D4DR) exon III seven repeat allele in opioid-dependent subjects. Mol Psychiry 2: 251–254
LaHoste GJ, Swanson JM, Wigal SB, Glabe C, Wigal T, King N, Kennedy JL . (1996): Dopamine D4 receptor gene polymorphism is associated with attention deficit hyperactivity disorder. Mol Psychiat 1: 121–124
Lanau F, Brockhaus M, Pink JR, Franchet C, Wildt-Perinic D, Goepfert C, Probst A, Hartman DS . (1997): Development and characterization of antibodies against the N terminus of the human dopamine D4 receptor. J Neurochem 69: 2169–2178
Lander E, Kruglyak L . (1995): Genetic dissection of complex traits: Guidelines for interpreting and reported linkage results. Nat Genet 11: 241–247
Li T, Xu K, Deng H, Cai G, Liu J, Liu X, Wang R, Xiang X, Zhao J, Murray RM, Sham PC, Collier DA . (1997): Association analysis of the dopamine D4 gene exon III VNTR and heroin abuse in Chinese subjects. Mol Psychiat 2: 413–416
Lichter JB, Livak KJ, Rogers J, Kennedy JL, Van Tol HHM . (1992): Echoes of D4 receptor repeats. Nature 360: 424
Lichter JB, Barr CL, Kennedy JL, Van Tol HHM, Kidd KK, Livak KJ . (1993): A hypervariable segment in the human dopamine receptor D4 (DRD4) gene. Hum Mol Genet 2: 767–773
Liu IS, Seeman P, Sanyal S, Ulpian C, Rodgers-Johnson PE, Serjeant GR, Van Tol HHM . (1996): Dopamine D4 receptor variant in Africans, D4valine194glycine, is in-sensitive to dopamine and clozapine: Report of a homozygous individual. Am J Med Genet 61: 277–282
Livak KJ, Rogers J, Lichter JB . (1995): Variability of dopamine D4 receptor (DRD4) gene sequence within and among nonhuman primate species. Proc Nat Acad Sci USA 92: 427–431
Long JC, Knowler WC, Hanson RL, Robin RW, Urbanek M, Moore E, Bennett PH, Goldman D . (1998): Evidence for genetic linkage to alcohol dependence on chromosomes 4 and 11 from an autosome-wide scan in an American Indian population. Am J Med Genet 81: 216–221
Malhotra AK, Virkkunen M, Rooney W, Eggert M, Linnoila M, Goldman D . (1996): The association between the dopamine D4 receptor (D4DR) 16 amino acid repeat polymorphism and novelty seeking. Mol Psychiat 1: 388–391
Martin ER, Kaplan NL, Weir BS . (1997): Tests for linkage and association in nuclear families. Am J Hum Genet 61: 439–448
Matsumoto M, Hidaka K, Tada S, Tasaki Y, Yamaguchi T . (1995): Full-length cDNA cloning and distribution of human dopamine D4 receptor. Mol Brain Res 29: 157–162
Meador-Woodruff JH, Haroutunian V, Powchik P, Davidson M, Davis KL, Watson SJ . (1997): Dopamine receptor transcript expression in striatum and prefrontal and occipital cortex. Focal abnormalities in orbitofrontal cortex in schizophrenia. Arch Gen Psychiat 54: 1089–1095
Morton NE . (1955): Sequential tests for the detection of linkage. Am J. Hum Genet 7: 277–318
Mrzljak L, Bergson C, Pappy M, Huff R, Levenson R, Goldman-Rakic PS . (1996): Localization of dopamine D4 receptors in GABAergic neurons of the primate brain. Nature 381: 245–248
Muramatsu T, Higuchi S, Murayama M, Matsushita S, Hayashida M . (1996): Association between alcoholism and the dopamine D4 receptor gene. J Med Genet 33: 113–115
Nakatome M, Honda K, Tun Z, Wakasugi C . (1996): Detection and analysis of the human D4 dopamine receptor gene (DRD4) sequence variant in the Japanese and Mongolian population. Biochem Biophys Res Commun 220: 773–776
Nakatome M, Honda K, Tun Z, Sakurada M, Harihara S . (1998): Comparison of a hypervariable segment in the human dopamine D4 receptor (DRD4) gene between the Japanese and Mongolian populations. Nippon Hoigaku Zasshi 52: 133–138
Nöthen MM, Cichon S, Hemmer S, Hebebrand J, Remschmidt H, Lehmkuhl G, Poustka F, Schmidt M, Catalano M, Fimmers R, Korner J, Rietschel M and Propping P . (1994): Human dopamine D4 receptor gene: Frequent occurence of a null allele and observation of homozygosity. Hum Molec Genet 3: 2207–2212
O'Malley KL, Harmon S, Tang L, Todd RD . (1992): The rat dopamine D4 receptor: Sequence, gene structure, and demonstration of expression in the cardiovascular system. New Biol 4: 137–146
Ono Y, Manki H, Yoshimura K, Muramatsu T, Mizushima H, Higuchi S, Yagi G, Kanba S, Asai M . (1997): Association between dopamine D4 receptor (D4DR) exon III polymorphism and novelty seeking in Japanese subjects. Am J Med Genet 74: 501–503
Parsian A, Chakraverty S, Fisher L, Cloninger CR . (1997): No association between polymorphisms in the human dopamine D3 and D4 receptors genes and alcoholism. Am J Med Genet 74: 281–285
Paterson AD, Ying DJ, Petronis A, Schoots O, Lieberman JA, Van Tol HHM, Kennedy JL . (1996): A PstI restriction fragment length polymorphism in the 5′ untranslated region of DRD4 is not associated with schizophrenia. Psychiat Genet 6: 191–193
Petronis A, O'Hara K, Barr CL, Kennedy JL, Van Tol HHM . (1994a): Gn-mononucleotide polymorphism in the human D4 dopamine receptor (DRD4) gene. Hum Genet 93: 719
Petronis A, Van Tol HHM, Kennedy JL . (1994b): A SmaI PCR-RFLP in the 5′ noncoding region of the human D4 dopamine receptor gene (DRD4). Hum Hered 44: 58–60
Phillips TJ, Crabbe JC, Metten P, Belknap JK . (1994): Localization of genes affecting alcohol drinking in mice. Alcohol Clin Exp Res 18: 931–941
Plomin R, Owen MJ, McGuffin P . (1994): The genetic basis of complex human behaviors. Science 264: 1733–1739
Pogue-Geile M, Ferrell R, Deka R, Debski T, Manuck S . (1998): Human novelty-seeking personality traits and dopamine D4 receptor polymorphisms: A twin and genetic association study. Am J Med Genet 81: 44–48
Primus RJ, Thurkauf A, Xu J, Yevich E, McInerney S, Shaw K, Tallman JF, Gallagher DW . (1997): II. Localization and characterization of dopamine D4 binding sites in rat and human brain by use of the novel, D4 receptor-selective ligand [3H]NGD 94-1. J Pharmacol Exp Ther 282: 1020–1027
Risch N, Merikangas K . (1996): The future of genetic studies of complex human diseases. Science 273: 1516–1517
Rowe DC, Stever C, Gideinghagen LN, Gard JMC, Cleveland HH, Terris St, Mohr JH, Sherman S, Abramowitz A, Waldman ID . (1998): Dopamine DRD4 receptor polymorphism and attention deficit hyperactivity disorder. Mol Psychiat 3: 419–426
Rubinstein M, Phillips TJ, Bunzow JR, Falzone TL, Dziewczapolski G, Zhang G, Fang Y, Larson JL, McDougall JA, Chester JA, Saez C, Pugsley TA, Gershanik O, Low MJ, Grandy DK . (1997): Mice lacking dopamine D4 receptors are supersensitive to ethanol, cocaine, and methamphetamine. Cell 90: 991–1001
Sander T, Harms H, Dufeu P, Kuhn S, Rommelspacher H, Schmidt LG . (1997): Dopamine D4 receptor exon III alleles and variation of novelty seeking in alcoholics. Am J Med Genet 74: 483–487
Sanyal S, Van Tol HHM . (1997): Dopamine D4 receptor-mediated inhibition of cyclic adenosine 3′,5′-monophosphate production does not affect prolactin regulation. Endocrinology 138: 1871–1878
Schaid DJ . (1996): General score tests for associations of genetic markers with disease using cases and their parents. Genetic Epidemiol 13: 423–449
Seaman MI, Fisher JB, Chang F-M, Kidd KK . (in press) A tandem duplication polymorphism upstream of the dopamine D4 receptor gene (DRD4). Am J Med Genet
Seeman P . (1992): Dopamine receptor sequences. Therapeutic levels of neuroleptics occupy D2 receptors, clozapine occupies D4. Neuropsychopharmacology 7: 261–284
Seeman P, Corbett R, Van Tol HHM . (1997a): Atypical neuroleptics have low affinity for dopamine D2 receptors or are selective for D4 receptors. Neuropsychopharmacology 16: 93–110
Seeman P, Guan HC, Nobrega J, Jiwa D, Markstein R, Balk JH, Picetti R, Borrelli E, Van Tol HHM . (1997b): Dopamine D2-like sites in schizophrenia, but not in Alzheimer's, Huntington's, or control brains, for [3H]benzquinoline. Synapse 25: 137–146
Seeman P, Ulpian C, Chouinard G, Van Tol HHM, Dwosh H, Lieberman JA, Siminovitch K, Liu IS, Waye J, Voruganti P, Hudson C, Serjeant GR, Masibay AS, Seeman MV . (1994): Dopamine D4 receptor variant, D4-GLYCINE194, in Africans, but not in Caucasians: No association with schizophrenia. Am J Med Genet 54: 384–390
Seeman P, Guan HC, Van Tol HHM . (1993): Dopamine D4 receptors elevated in schizophrenia. Nature 365: 441–445
Smalley SL, Bailey JN, Palmer CG, Cantwell Dp, McGough JJ, Del'Homme MA, Asarnow JR, Woodward JA, Ramsey C, Nelson SF . (1998): Evidence that the dopamine D4 receptor is a susceptibility gene in attention deficit hyperactivity disorder. Mol Psychiat 3: 427–430
Spielman RS, Ewens WJ . (1996): The TDT and other family-based tests for linkage disequilibrium and association. Am J Hum Genet 59: 983–989
Sullivan PF, Fifield WJ, Kennedy MA, Mulder RT, Sellman JD, Joyce PR . (1998): No association between novelty seeking and the type 4 dopamine receptor gene (DRD4) in two New Zealand samples. Am J Psychiat 155: 98–101
Sunohara GA, Kennedy JL . (1998): The dopamine D4 receptor gene and neuropsychiatric disorders. In Savage LM (ed), Dopaminergic Disorders: Novel Approaches for Drug Discovery and Development. Southborough, MA, International Business Communications, pp 29–42
Sutcliff JG . (1988): mRNA in the mammalian central nervous system. Ann Rev Neurosci 11: 157–198
Swanson JM, Sunohara GA, Kennedy JL, Regino R, Fineberg E, Wigal T, Lerner M, Williams L, LaHoste GJ, Wigal S . (1998): Association of the dopamine receptor D4 (DRD4) gene with a refined phenotype of attention deficit hyperactivity disorder (ADHD)A a family-based approach. Mol Psychiat 3: 38–41
Vandenbergh DJ, Zonderman AB, Wang J, Uhl GR, Costa PT Jr . (1997): No association between novelty seeking and dopamine D4 receptor (D4DR) exon III seven repeat alleles in Baltimore Longitudinal Study of Aging participants. Mol Psychiat 2: 417–419
Van Tol HHM, Bunzow JR, Guan HC, Sunhara RK, Seeman P, Nizak HB, Civelli O . (1991): Cloning of the gene for a human dopamine D4 receptor with high affinity for the antipsychotic clozapine. Nature 350: 610–614
Van Tol HHM, Wu CM, Guan HC, Ohara K, Bunzow JR, Civelli O, Kennedy J, Seeman P, Niznik HB, Jovanovic V . (1992): Multiple dopamine D4 receptor variants in the human population. Nature 358: 149–152
Wickens TD . (1989): Multiway Contingency Tables Analysis for the Social Sciences. Hillsdale, NJ, Lawrence Erlbaum
Acknowledgements
ADP is a Fellow of the Medical Research Council of Canada. A Clarke Foundation fellowship supported GAS. JLK is a NARSAD Independent Investigator and is supported an MRC Canada operating grant to study dopamine receptor genes. We thank many colleagues for interesting discussions over a number of years. In particular, we thank Drs. Micheal Bagby, Hubert Van Tol, Phillip Seeman, Miron Baron, Art Petronis, Albert Wong, and Richard Van Holst for their valuable comments. Thanks also to Mike Seaman for kindly providing information before publication.
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Paterson, A., Sunohara, G. & Kennedy, J. Dopamine D4 Receptor Gene: Novelty or Nonsense?. Neuropsychopharmacol 21, 3–16 (1999). https://doi.org/10.1016/S0893-133X(98)00115-8
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DOI: https://doi.org/10.1016/S0893-133X(98)00115-8
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